新生儿高胆红素血症高危因素分析

目的探讨新生儿高胆红素血症围产期的高危因素，为临床预防和治疗提供理论依据。方法选择2011年1月。2012年1月在我科住院治疗的新生儿416例为研究对象，分析其胆红素水平，记录同产期可能与高胆红素血症有关的因素，并进行统计学分析。结果多因素Logistic分析结果显示，剖宫产、母乳少、低血糖、体重下降〉10％、1minApgar评分〈7分、宫内窘迫、母亲高龄、新生儿感染是新生儿高胆红素血症的危险因素。剖宫产组母乳较少的比例较非剖宫产组低，体质量下降〉10％的比例高，新生儿窒息的比例高，母亲妊娠期合并症的比例高．差异均有统计学意义（P〈0．01或P〈0．05）。结论导致新生儿高胆红素血症的因素较多，要加强同产期的保健，以及时发现高危因素，及时预防与治疗。

Analysis of risk factors of neonatal hyperbilirubinemia

Objective To analyze risk factors of neonatal hyperbilirubinemia. Methods Selected 416 cases in Jan 2011-Jan 2012, Bilirubin level and risk factors of neonatal hyperbilirubinemia were analyzed. Results Cesarean sec- tion, breast milk less, hypoglycemia, Weight loss 〉10%, lmin Apgar score 〈7, in utero distress, mother at high age, infection were high risk factors of neonatal hyperbilirubinemia. Cases with less breast milk in cesarean section group were less than eutocia group, weight loss〉10%, neonatal asphyxia, mother with pregnancy complications were higher than eutocia group（P 〈 0.01 or P 〈 0.05）. Conclusion There are many risk factors affecting neonatal hyperbilirubine- mia. Perinatal health care should be improved to prevent and treat neonatal hyperbilirubinemia in time.